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DEMAND MANAGEMENT
Kathryn Davies
Physiotherapy Team Lead
Welshpool Hospital
Cohort 8 CLP
“If you always do what you always did
You will always get what you always got”
Mark Twain
Historically - Musculoskeletal
Orthopaedic morning
Routine “knee” assessment clinic
Demand Management
Demand Management is about understanding demand
The process should focus on using planning and forecasting skills to ensure patients receive the most appropriate care in the right setting
What I decided to do?
Gather statisticsBroaden my knowledge of Demand
Management• Kathryn Davies, DOTH, Hywel dda Health Authority• Nichole Pickrell, Deputy Head of Physiotherapy, Neath &
Port Talbot
Liaise Colleagues• Jan Lawrence, Lead Therapist, Mid Powys• Gwyneth Jones, Senior Physiotherapist, Newtown
Gather Statistics
General MusculoskeletalElective OrthopaedicTrauma & Fractures
Neurological, Falls & RespiratoryWomen’s Health
General MusculoskeletalJanuary to June 2011
CERVICAL
CERV + B
RACHIALG
IA
THORACIC
LUM
BAR
LUM
BAR + S
CIATIC
A
SHOULDER
ELBOW
WRIS
T + H
ANDHIP
KNEE
ANKLE +
FOOT
SPLINT
GENERAL BODY
0
20
40
60
80
100
120
140
160
JUN
MAY
APR
MAR
FEB
JAN
Interesting trends after snow!
Wrist fractures
Shoulder traumas
Ankle fractures
Wrist fractures
Shoulder traumas
Ankle fractures
Referrals – large numbers
Musculoskeletal • Shoulders, knees, lumbar, lumbar & sciatica
Elective orthopaedic• Knees
Trauma & fractures• Wrists and ankles
Referrals – large numbers
Neurological• CVAs, MS, Parkinson’s
Falls & mobility
Women’s health• Antenatal back pain
Confirm YES
“Orthopaedic” morning
• Elective surgery – lower limb• Trauma & fractures – lower limb• Carpel tunnel referrals/wrist splints
Challenge ?
Routine knee assessment clinic
• ?better managed through telephone assessment & advice
Present developments
Musculoskeletal
• Telephone assessment & advice
January 2012 with Welshpool GPs.
Present developments
Neurological conditions• Upper limb group• Movement disorder’s group (Parkinson’s)
Falls & mobility• Balance & movement group (additional to
Falls Prevention Programme)
Present developments
Women’s health
• Antenatal back group
Future developments
Develop present groups• Consider shoulder class (linking with
upper limb group)
Increased networking with external agencies (NERS, EPP)
Link with local communities – what is out there?
Thank you for listening
Kathryn Davies,
Physiotherapy Team Lead
01938 558930
